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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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VAL DERVIN
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111
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4700 - Waste Tire Program
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PR0537792
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COMPLIANCE INFO
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Entry Properties
Last modified
1/24/2020 2:19:11 PM
Creation date
1/24/2020 1:34:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537792
PE
4740
FACILITY_ID
FA0021796
FACILITY_NAME
CB TIRES
STREET_NUMBER
111
STREET_NAME
VAL DERVIN
STREET_TYPE
PKWY
City
STOCKTON
Zip
95206
CURRENT_STATUS
02
SITE_LOCATION
111 VAL DERVIN PKWY
QC Status
Approved
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CField
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EHD - Public
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Waste Tire St_- ,ie & Inspection Rept SURVEY REQUIRED <br /> v a <br /> State of California <br /> - <br /> - <br /> --- <br /> CIWMB183 (New 04104) Comments Form <br /> California Integrated Waste Management Board BLUE OR BLACK INK PEN <br /> Business Profile Inspection Details <br /> TPID- Inspection <br /> Site Suffix: l � '� Report I — 0 7 <br /> [ Number: <br /> Inspection Number on the associated Survey form(Page 1) <br /> Comments <br /> -,Q tTCc� 7vVt �"YlYyl rv�¢1 +•�-u _-- <br /> CCR <br /> c. a �-�� <br /> nil <br /> C..�ctiti��Ci 1-�R1i�� �.�.✓� � - . Gt <br /> 1 t <br /> c- G <br /> aS ► Yt r � :74- 1-75-0 5 ' f> <br /> TOY V4 S 4W -eca� 1. t 1�Ya'lGnt— O Fy�G t <br /> 0T C�ozo <br /> 42408 <br /> ■ <br /> White Copy:CIWMB Yellow Copy:Operator Pink Copy:LEA <br />
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